There is a bimodal age distribution for testis tumors with one peak occurring in the fi rst 2 years of life, and a second, much larger peak occurring in young adulthood. Therefore pediatric testis tumors occur in two distinct groups—prepubertal patients and adolescents. Testicular tumors in adolescents and children do have some similarities. Both usually present with a testicular mass and are treated initially with excision of the primary tumor. In both children and adolescents, malignant testis tumors are particularly sensitive to platinum-based chemotherapy, which has revolutionized the management of testicular cancer throughout the age spectrum. However, there are important differences between testis tumors occurring in children and adolescents. These differences occur in the tumor histopathol-ogy, malignant potential, and pattern of metastatic spread. The patients themselves are also dissimilar with different concerns regarding surgical morbidity and preservation of testicular function. These differences have resulted in a signifi cantly different approach to testicular tumors in the two age groups.
Access provided by Autonomous University of Puebla. Download to read the full chapter text
Chapter PDF
Similar content being viewed by others
Keywords
- Congenital Adrenal Hyperplasia
- Epidermoid Cyst
- Gonadal Dysgenesis
- Leydig Cell Tumor
- Retroperitoneal Lymph Node Dissection
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Further Reading
Horwich A, Shipley J, Huddart R (2006) Testicular germ-cell cancer. Lancet 367:754–765
Klein E (2006) Nerve-sparing retroperitoneal lymphadenec-tomy. In AC Novick, JS Jones (eds) Operative Urology at the Cleveland Clinic. Humana Press, Totowas, NJ, pp 139–148
Ross J (2006) Testicular tumours. In P Puri, ME Höllwarth (eds) Pediatric Surgery, Springer Surgery Atlas Series. Springer-Verlag, Berlin, Heidelberg, New York, pp 477–482
Ross JH, Rybicki L, Kay R (2002) Clinical behavior and a contemporary management algorithm for prepubertal testis tumors: A summary of the Prepubertal Testis Tumor Registry. J Urol 168:1675–1679
Schlatter M, Rescorla F, Giller R et al (2003) Excellent outcome in patients with stage I germ cell tumors of the testes: A study of the Children's Cancer Group/Pediatric Oncology Group. J Pediatr Surg 38:319–324
Thomas JC, Ross JH, Kay R (2001) Stromal testis tumors in children: A report from the prepubertal testis tumor registry. J Urol 166:2338–2340
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Ross, J.H. (2009). Testis Tumors. In: Puri, P., Höllwarth, M. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69560-8_78
Download citation
DOI: https://doi.org/10.1007/978-3-540-69560-8_78
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-69559-2
Online ISBN: 978-3-540-69560-8
eBook Packages: MedicineMedicine (R0)